- Practice location
- 2500 NE Neff RD, Bend, OR 97701-6015
- Phone
- 541-388-4333
- Fax
- 541-388-3446
- Last updated
- May 1, 2024
Jake Brandt, PA is a Physician Assistant based in Bend, OR. Jake Brandt, PA holds the professional credentials of PA. The NPI number for Jake Brandt, PA is 1083211734 and holds license No. PA207373 (OR). The current practice location address is 2500 NE Neff RD, Bend, OR 97701-6015 and the office can be reached by phone at 541-388-4333 and by fax at 541-388-3446. The NPI was assigned on October 6, 2020 and the record was last updated in NPPES on May 1, 2024.
●Provider Profile Details
- NPI Number
- 1083211734
- Provider Name
- Jake Brandt
- Credential
- PA
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Enumeration Date
- October 6, 2020
- Last Update Date
- May 1, 2024
- Certification Date
- May 1, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2500 NE Neff RD
Bend, OR 97701-6015 - City
- Bend
- State
- Oregon
- ZIP
- 97701-6015
- Country
- US
- Phone Number
- 541-388-4333
- Fax Number
- 541-388-3446
✉Business Mailing Address
- Address
- 1501 NE Medical Center Dr
Bend, OR 97701-6051 - City
- Bend
- State
- OR
- ZIP
- 97701-6051
- Phone Number
- 541-382-2811
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA207373 | OR |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Jake Brandt, PA?
The NPI number of Jake Brandt, PA is 1083211734. It was assigned on October 6, 2020 and is currently active in the NPPES registry.
What is the specialty of Jake Brandt, PA?
Jake Brandt, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X) and holds license No. PA207373 (OR).
Where does Jake Brandt, PA practice?
The practice location is 2500 NE Neff RD, Bend, OR 97701-6015. The office can be reached at 541-388-4333 (phone) or 541-388-3446 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083211734 directly on the NPPES registry website at npiregistry.cms.hhs.gov.